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REGISTRATION FORM (1/2) _______
/| /|
IEEE SIGNAL PROCESSING SOCIETY / |ICIP / |
1995 INTERNATIONAL CONFERENCE ON IMAGE PROCESSING /__|____/ |
| |____|__|
Hyatt Regency Crystal City | / | /
Washington, D.C., U.S.A. | / 95 | /
October 23-26, 1995 |/______|/
_______________________________________________________________________________
o Personal Information
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Please fill and mail one form per attendee, and, please, PRINT CLEARLY
First (Personal) Name _________________________ Middle ________________________
Last (Family) Name .. _________________________________________________________
Title / Name on Badge _________________________ / _____________________________
Affiliation ......... _________________________________________________________
Mailing Address ..... _________________________________________________________
City / State / Zip .. _________________________ / ________ / __________________
Country ............. _________________________________________________________
Phone ............... (______)_________________ Fax (______)___________________
E-mail .............. _________________________________________________________
IEEE Member ......... [] No / [] Yes: Member number ___________________________
Student ............. [] No / [] Yes: Please attach a proof of your student
status (a copy of the valid student ID or a letter from
the Department Chair is required)
_______________________________________________________________________________
o Tutorials
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Register early, tutorial space is limited. (Tutorial-only registration will be
available exclusively on-site.) Please select from below, and note that some
sessions are given in parallel. Tutorial day: Thursday October 26, 1995
AM Session SA1, 9:00 AM - 12:00 Noon, Charles A. Bouman
[] Markov Random Fields and Stochastic Image Models
AM Session SA2, 9:00 AM - 12:00 Noon, Akram Aldroubi
[] Splines, Atomic Spaces, and Wavelets
PM Session SP1, 1:30 AM - 4:30 PM, Oleh Tretiak
[] Medical Imaging: Modalities and Performance
PM Session SP2, 1:30 AM - 4:30 PM, Jean-Michel Morel
[] Introduction to Partial Differential Equations in Image Processing
_______________________________________________________________________________
o Mailing Address
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Registration by fax is accepted only if a credit card is the method of payment
Conference Management Services
Suite C - 283
2553 Texas Avenue South
College Station, TX 77840 U.S.A.
Phone (409) 696 65 76
Fax (409) 696 66 53
E-mail: Mercer@conf-mgmt.com
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REGISTRATION FORM (2/2) _______
/| /|
IEEE SIGNAL PROCESSING SOCIETY / |ICIP / |
1995 INTERNATIONAL CONFERENCE ON IMAGE PROCESSING /__|____/ |
| |____|__|
Hyatt Regency Crystal City | / | /
Washington, D.C., U.S.A. | / 95 | /
October 23-26, 1995 |/______|/
_______________________________________________________________________________
o Registration Fee Schedule
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Avoid the higher on-site registration fee: be sure to register before Sept. 22!
========================= ============= ====== =============== ===============
.........................|.............| Quan | Advance, bef. | On-site, or |
.........................|.............| tity | Sept. 22 | aft. Sept. 22 |
-------------------------+-------------+------+---------------+---------------+
All sessions, coffee | IEEE member |......| $350 USD ____ | $450 USD ____ |
breaks, exhibits, 1 copy | Non-member |......| $450 USD ____ | $575 USD ____ |
of the proc., 1 CD set | Student |......| $ 80 USD ____ | $100 USD ____ |
-------------------------+-------------+------+---------------+---------------+
Tutorials (not included | Tut. (each) | ____ | $120 USD ____ | $150 USD ____ |
in regular registration) | Student | ____ | $ 50 USD ____ | $ 50 USD ____ |
-------------------------+-------------+------+---------------+---------------+
Hyatt Regency Crystal | Banquet | ____ | $ 55 USD ____ | $ 55 USD ____ |
City, Tue. Oct. 24, 1995 | Vegetarian | ____ | $ 55 USD ____ | $ 55 USD ____ |
-------------------------+-------------+------+---------------+---------------+
Extra proceedings | IEEE Member | ____ | $120 USD ____ | $120 USD ____ |
Extra proceedings | Non-member | ____ | $145 USD ____ | $145 USD ____ |
Extra CD set | CD set | ____ | $ 50 USD ____ | $ 50 USD ____ |
-------------------------+-------------+------+---------------+---------------+
.........................| TOT PAYMENT |......| $ USD ____ | $ USD ____ |
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The proceedings and the CD set will be delivered on-site. Students receive a CD
set, but no copy of the proceedings. Student fees are the same, irrespective of
IEEE membership. Tutorial-only registration available exclusively on-site;
space limitations may apply. The regular registration fees do not include
tutorials nor banquet.
_______________________________________________________________________________
o Registration Fee Payment
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Please include your payment along with the registration form
No wire transfers or invoices will be accepted. If drawn on non-US banks, no
checks or money orders will be accepted either. Each attendee must register
separately. Delegates not using credit card facilities must forward a check or
money order payable to ICIP-95 and drawn on a US bank or a US branch of a
foreign bank for the total amount in USD. Refund policy: processing fee $50
before September 22, 1995; no refund after September 22, 1995.
Method of Payment (Select one) [] Credit Card [] Check [] Money order
Credit card type (Select one) [] Mastercard [] Visa [] American Express
Check / Card Number ... _____________________________ Exp. Date __ / __ / _____
Cardholder's name ..... _______________________________________________________
Cardholder's signature:
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